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The short and long-term effects of a lifestyle intervention in children with mental illnesses: a randomized
Emilie M A van Tetering1,2,3, Jet B Muskens4,5,6, Jeroen Deenik7,8
1Karakter Child and Adolescent Psychiatry, Nijmegen, The Netherlands. e.vantetering@karakter.com.
Insights
This study investigates lifestyle interventions for children with mental illness (MI), addressing poor diet, inactivity, and sleep. The Movementss trial compares a lifestyle program to usual care to improve health outcomes in this vulnerable population.
Area of Science:
- Pediatric mental health
- Lifestyle medicine
- Public health
Background:
- Children with mental illness (MI) exhibit higher rates of unhealthy lifestyle behaviors, including poor diet, physical inactivity, excessive screen time, and inadequate sleep.
- These behaviors contribute to long-term health issues, yet research on effective lifestyle interventions for this population is scarce.
- Existing treatment programs lack specific guidelines for supporting children with MI and unhealthy lifestyles.
Purpose of the Study:
- To evaluate the short-term (12 weeks) and long-term (1 year) effectiveness of a lifestyle intervention compared to care as usual (CAU) in children with MI and unhealthy lifestyles.
- To provide insight into the impact of lifestyle interventions on the overall well-being of children with MI and their families.
- To address the current gap in knowledge and establish evidence-based guidelines for lifestyle support in pediatric mental health.
Main Methods:
- A randomized controlled trial (RCT) involving 80 children aged 6-12 years with MI and unhealthy lifestyles.
- Participants are randomized to either a lifestyle intervention group or a control group receiving CAU.
- Comprehensive assessments include quality of life (primary outcome), emotional/behavioral symptoms, lifestyle parameters, cognitive function, physical measurements, and family functioning, with data collected at multiple time points over 12 months.
Main Results:
- This section is not yet available as the study is ongoing.
- The study is designed to collect data on various health and lifestyle parameters to determine intervention effectiveness.
- Long-term effects on quality of life, behavior, and physical health will be analyzed.
Conclusions:
- This RCT is expected to significantly contribute to the limited body of research on lifestyle interventions for children with mental illness.
- Findings will inform the development of targeted treatment programs and clinical guidelines.
- The study aims to improve health outcomes and quality of life for children facing co-occurring mental health and lifestyle challenges.
Background:
A lifestyle including poor diet, physical inactivity, excessive gaming and inadequate sleep hygiene is frequently seen among Dutch children. These lifestyle behaviors can cause long-term health problems later in life. Unhealthy lifestyle and poor physical health are even more prevalent among children with mental illness (MI) such as autism, attention-deficit/hyperactivity disorder, depression, and anxiety. However, research on lifestyle interventions among children with MI is lacking. As a result, there are currently no guidelines, or treatment programs where children with MI and poor lifestyle can receive effective support. To address these issues and to provide insight into the effectiveness of lifestyle interventions in children with MI and their families, the Movementss study was designed. This paper describes the rationale, study design, and methods of an ongoing randomized controlled trial (RCT) comparing the short-term (12 weeks) and long-term (1 year) effects of a lifestyle intervention with care as usual (CAU) in children with MI and an unhealthy lifestyle.
Methods:
A total of 80 children (6-12 years) with MI according to DSM-V and an unhealthy lifestyle are randomized to the lifestyle intervention group or CAU at a specialized child and adolescent mental hospital. The primary outcome measure is quality of life measured with the KIDSCREEN. Secondary outcomes include emotional and behavior symptoms, lifestyle parameters regarding diet, physical activity, sleep, and screen time, cognitive assessment (intelligence and executive functions), physical measurements (e.g., BMI), parenting styles, and family functioning, prior beliefs, adherence, satisfaction, and cost-effectiveness. Assessments will take place at the start of the study (T0), after 12 weeks (T1), six months (T2), and 12 months of baseline (T3) to measure long-term effects.
Discussion:
This RCT will likely contribute to the currently lacking knowledge on lifestyle interventions in children with MI.
Trial Registration:
trialsearch.who.int/ NL9822. Registered at November 2nd, 2021.
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